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Beyond talk therapy: how DBT, IFS and somatic tools support healing

Breanne Charles, MA, RCC · October 15, 2026 · 8 min read

Many people arrive in counselling having already tried to think their way out of what they are feeling. They understand where the anxiety comes from. They can explain the pattern. And yet the racing heart, the sleepless nights and the sudden waves of overwhelm keep showing up anyway.

That is not a failure of insight. Stress, anxiety and trauma are held in the nervous system as much as in our thoughts, so lasting change often needs more than conversation alone. This is where an integrative approach can help: drawing from several evidence-based methods so the work fits you, rather than asking you to fit a single method.

Here is a plain-language look at the approaches I use most, what each one offers, and how they work together.

What integrative therapy means

Integrative therapy is not a mix of techniques chosen at random. It means starting with you: what you are struggling with, what has or has not helped before, and what you want to be different. From there, we draw on the approaches most likely to help, and we adjust as we learn what works for you.

Often that means two kinds of work happening side by side. Practical tools for the symptoms that are making daily life hard right now, such as anxiety, stress or poor sleep, and gentler, deeper exploration of the patterns underneath them, so change can last.

Dialectical Behaviour Therapy (DBT): skills for when emotions feel too big

DBT was developed to help people who feel emotions intensely and quickly. It teaches concrete, learnable skills in four areas: mindfulness, distress tolerance, emotion regulation and interpersonal effectiveness.

The heart of DBT is a balance between acceptance and change. You can accept that what you are feeling makes sense, and still learn new ways to respond to it. Many people find DBT skills especially helpful in the moments when reasoning goes offline: a panic spike, a wave of anger, or the urge to shut down or withdraw.

DBT can help with

  • Riding out intense emotions without acting on them in ways you later regret
  • Calming yourself when you feel flooded or overwhelmed
  • Asking for what you need and setting boundaries with less guilt
  • Noticing emotions earlier, before they build to a crisis

Internal Family Systems (IFS): getting to know your inner parts

Most of us know the experience of being of two minds. Part of you wants to rest, while another part insists you keep pushing. Part of you wants connection, while another part keeps people at a distance. Internal Family Systems, often called parts work, treats these inner voices as parts of you, each trying in its own way to help.

Instead of fighting the inner critic, the perfectionist or the part that avoids, IFS invites curiosity. What is this part protecting you from? What is it afraid would happen if it stopped? As those protective parts feel understood, they often soften, and there is more room for calm, confidence and self-compassion. The question shifts from 'What is wrong with me?' to 'What is this part of me trying to keep safe?'

ACT and CBT: working with thoughts and moving toward what matters

Cognitive Behaviour Therapy (CBT) helps you notice the thoughts and beliefs that keep difficult feelings going, and test whether they are as true as they feel. It is practical and structured, and it is well researched for anxiety, low mood and sleep difficulties.

Acceptance and Commitment Therapy (ACT) takes a slightly different angle. Rather than arguing with every anxious thought, ACT helps you hold thoughts more lightly, make room for uncomfortable feelings, and keep taking steps toward the things you value. Many people find the combination useful: CBT to loosen unhelpful thinking, and ACT for the thoughts and feelings that do not budge on command.

Somatic techniques: calming the body first

When your body is in a stress response, the thinking parts of the brain have less to work with. Somatic approaches start with the body: noticing sensations, slowing the breath, finding steadiness through movement or grounding, and gently building your capacity to stay present with difficult experiences.

These tools are often especially useful for trauma, chronic stress, insomnia and the kind of exhaustion where you feel tired and on edge at the same time. They are also portable. Once you have found a few that work for you, you can use them anywhere.

Simple grounding practices to try

  • Breathe in for a count of four and out for a count of six or eight. A longer exhale signals safety to your nervous system.
  • Press your feet into the floor and notice the contact, the weight and the temperature.
  • Name five things you can see and four things you can hear, to bring your attention back to the present.
  • Place a hand on your chest or stomach and notice the movement of your breath without trying to change it.

Mindfulness, compassion and creative approaches

Alongside these core approaches, I also draw on mindfulness and compassion practices, creative exercises such as art therapy, and personality exploration tools like the Enneagram when they are helpful. Some things are easier to express through an image than through words, and understanding your personality patterns can bring clarity and self-acceptance.

What working with me looks like

Reaching out for support can feel vulnerable. My hope is that our work together feels steady, respectful and empowering. We go at a pace that feels manageable, you stay in charge of what we focus on, and we adjust the approach as we learn what helps you most.

Much of my professional experience has been supporting women who have experienced intimate partner violence, and I have worked with people across the lifespan, from teens to seniors. I work with individuals on anxiety and stress, insomnia and sleep challenges, trauma, grief and loss, relationship challenges, life transitions, chronic illness, self-image and emotional regulation.

Sessions are available in person at our Victoria office or securely online anywhere in British Columbia. I am currently accepting new clients.

When it's worth reaching out

  • You understand your patterns but still feel stuck in them
  • Anxiety, stress or overwhelm are affecting your sleep, work or relationships
  • Emotions feel too big to manage, or you tend to shut down when things get hard
  • You are carrying the effects of trauma, including intimate partner violence
  • Grief, chronic illness or a major life change has left you feeling unsteady
  • Your inner critic is loud and self-compassion feels out of reach

You do not need to be in crisis to start counselling. Book an appointment or find the therapist who fits.

If you are in crisis or concerned about your safety, call 911, or reach the BC Crisis Line at 1-800-SUICIDE (1-800-784-2433) or 310-6789 for mental health support, any time of day. This article is general information and is not a substitute for individual professional advice.

Portrait of Breanne Charles

About the author

Breanne Charles, MA, RCC

Integrative individual therapy for anxiety, trauma, grief and life transitions - practical tools alongside deeper change.

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